Primary lens extraction rivals iridotomy in primary angle closure: Approach more cost-effective, considered as option for first-line therapy, suggests surgeon.

IRIS surgery; ANGLE-closure glaucoma; CATARACT surgery; COST effectiveness; QUALITY of life; SURGEONS; VISUAL acuity; TREATMENT effectiveness

The article discusses a three-year study follow-up on patients with primary angle closure as of 2019. Results confirm initial findings of better clinical outcomes and better quality of life from primary lens extraction than from standard care with laser peripheral iridotomy plus topical medical treatment. Also noted is the cost-effectiveness of clear lens extraction compared to primary iridotomy, although it is not necessarily right for every patient and should be discussed with the surgeon.